Evidence map›Paper›PMID 30190288›Full record

ArticleThe Journal of experimental medicine2018

Remote ischemic post-conditioning promotes hematoma resolution via AMPK-dependent immune regulation.

Kumar Vaibhav, Molly Braun, Mohammad Badruzzaman Khan, Sumbul Fatima, Nancy Saad, Adarsh Shankar, Zenab T Khan, Ruth B S Harris, Qiuhua Yang, Yuqing Huo and 8 more

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03930940 (Safey and Efficacy of Remote Ischemic Conditioning in Patient With Spontaneous Intracerebral Hemorrhage), which is not on this map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03930940 phase1completednot on this mapstarted 2019, after this paper: background citation

Safey and Efficacy of Remote Ischemic Conditioning in Patient With Spontaneous Intracerebral Hemorrhage

TypeinterventionalSponsorCapital Medical UniversityRan2019 to 2020Enrolled40ConditionsIntracerebral HemorrhageArmsremote ischemic conditioning, Regular treatment
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Remote ischemic conditioning for stroke: A critical systematic review.International journal of stroke : official journal of the International Stroke Society · 2024
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. New targets in spontaneous intracerebral hemorrhage.Current opinion in neurology · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Neuroadaptive Biochemical Mechanisms of Remote Ischemic Conditioning.International journal of molecular sciences · 2023
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 2 institutions in 1 country.

Kumar VaibhavDepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA.
Molly BraunDepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA.
Mohammad Badruzzaman KhanDepartment of Neurology, Medical College of Georgia, Augusta University, Augusta, GA.
Sumbul FatimaDepartment of Medical Laboratory, Imaging, and Radiological Sciences, College of Allied Health Sciences, Augusta University, Augusta, GA.
Nancy SaadDepartment of Oral Biology, Dental College of Georgia, Augusta University, Augusta, GA.
Adarsh ShankarDepartment of Biochemistry and Molecular Biology, Medical College of Georgia, Augusta University, Augusta, GA.
Zenab T KhanDepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA.
Ruth B S HarrisDepartment of Physiology, Medical College of Georgia, Augusta University, Augusta, GA.
Qiuhua YangDepartment of Cellular Biology and Anatomy, Medical College of Georgia, Augusta University, Augusta, GA.
Yuqing HuoDepartment of Cellular Biology and Anatomy, Medical College of Georgia, Augusta University, Augusta, GA.
Ali S ArbabDepartment of Biochemistry and Molecular Biology, Medical College of Georgia, Augusta University, Augusta, GA.
Shailendra GiriDepartment of Neurology, Henry Ford Health System, Detroit, MI.
Cargill H AlleyneDepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA.
John R VenderDepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA.
David C HessDepartment of Neurology, Medical College of Georgia, Augusta University, Augusta, GA.
Babak BabanDepartment of Neurology, Medical College of Georgia, Augusta University, Augusta, GA.
Md Nasrul HodaDepartment of Neurology, Medical College of Georgia, Augusta University, Augusta, GA.
Krishnan M DhandapaniDepartment of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA KDHANDAPANI@augusta.edu.ORCID 0000-0001-7044-1117
Augusta University · USHenry Ford Health System · US

Funding

PFKFB3 in vascular remodelingR01HL134934 · NHLBI · AUGUSTA UNIVERSITY · PI HUO, YUQING, SU, YUNCHAO · 2017 to 2020
$2.3M
HMGB1 and Traumatic Brain InjuryR01NS065172 · NINDS · AUGUSTA UNIVERSITY · PI DHANDAPANI, KRISHNAN M. · 2009 to 2013
$1.6M
Mechanisms of Chronic Remote Ischemic Conditioning Induced Cerebroprotection in a VCID ModelR01NS099455 · NINDS · AUGUSTA UNIVERSITY · PI HESS, DAVID C. · 2017 to 2020
$1.5M
Remote ischemic conditioning for neuroprotection in vascular cognitive impairmentR21NS090609 · NINDS · AUGUSTA UNIVERSITY · PI HESS, DAVID C. · 2015 to 2016
$760k
Immune Mechanisms of Protection by Remote Limb Ischemic Conditioning after Intracerebral HemorrhageR21NS095154 · NINDS · AUGUSTA UNIVERSITY · PI DHANDAPANI, KRISHNAN M. · 2015 to 2016
$418k
Neutrophil extracellular traps and TBIR56NS097825 · NINDS · AUGUSTA UNIVERSITY · PI BABAN, BABAK, DHANDAPANI, KRISHNAN M. · 2017 to 2017
$380k
Therapeutic targeting of CD36 after intracerebral hemorrhageR21NS075774 · NINDS · AUGUSTA UNIVERSITY · PI DHANDAPANI, KRISHNAN M. · 2012 to 2013
$368k
Transient receptor potential vanilloid-1 as a molecular switch in TBI-induced inflammationR03HD094606 · NICHD · AUGUSTA UNIVERSITY · PI VAIBHAV, KUMAR · 2017 to 2018
$304k
NLRP3 inflammasome and TBIR03NS084228 · NINDS · AUGUSTA UNIVERSITY · PI DHANDAPANI, KRISHNAN M. · 2013 to 2014
$149k
NHLBI NIH HHS R01 HL134934NICHD NIH HHS R03 HD094606NINDS NIH HHS R01 NS065172NINDS NIH HHS R01 NS099455NINDS NIH HHS R03 NS084228NINDS NIH HHS R21 NS075774NINDS NIH HHS R21 NS090609NINDS NIH HHS R21 NS095154NINDS NIH HHS R56 NS097825
6 · The paper itself

Abstract

Spontaneous intracerebral hemorrhage (ICH) produces the highest acute mortality and worst outcomes of all stroke subtypes. Hematoma volume is an independent determinant of ICH patient outcomes, making clot resolution a primary goal of clinical management. Herein, remote-limb ischemic post-conditioning (RIC), the repetitive inflation-deflation of a blood pressure cuff on a limb, accelerated hematoma resolution and improved neurological outcomes after ICH in mice. Parabiosis studies revealed RIC accelerated clot resolution via a humoral-mediated mechanism. Whereas RIC increased anti-inflammatory macrophage activation, myeloid cell depletion eliminated the beneficial effects of RIC after ICH. Myeloid-specific inactivation of the metabolic regulator, AMPKα1, attenuated RIC-induced anti-inflammatory macrophage polarization and delayed hematoma resolution, providing a molecular link between RIC and immune activation. Finally, chimera studies implicated myeloid CD36 expression in RIC-mediated neurological recovery after ICH. Thus, RIC, a clinically well-tolerated therapy, noninvasively modulates innate immune responses to improve ICH outcomes. Moreover, immunometabolic changes may provide pharmacodynamic blood biomarkers to clinically monitor the therapeutic efficacy of RIC.

Indexed as

Ischemic PostconditioningMacrophage ActivationAMP-Activated Protein KinasesAnimalsHematomaMacrophagesMiceMice, KnockoutStrokeAMP-Activated Protein Kinases

Identifiers

PMID30190288
PMCPMC6170180
OpenAlexW2891678861

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.